| Doctor Name: | MRS. JANINE DANETTE PEACOCK |
| NPI Number: | 1528200813 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN154296 |
| Business Practice Address: | 32375 N Gantzel Rd San Tan Valley, AZ - 851435110 |
| Business Phone Number: | 4804746100 |
| Business Fax Number: | 4808880679 |
| Mailing Address: | Po Box 2850, FLORENCE |
| State: | AZ |
| Postal Code: | 851323053 |
| Phone Number: | 4804746100 |
| Fax Number: | 4808880679 |
| NPI Enumeration Date: | 04/01/2009 |
| NPI Last Update Date: | 10/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN154296 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |